| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $33.11 | $61.66 | |
Aetna
| Professional | $33.11 | $33.11 | $41.69 | |
BCBS
| Facility | $37.15 | $37.15 | $37.15 | |
BCBS
| Professional | $27.54 | $37.15 | $37.15 | |
Cigna
| Professional | $34.67 | $34.67 | $43.65 | |
Medica
| Facility | $30.90 | $33.88 | $52.48 | |
Medica
| Professional | $30.90 | $34.67 | $35.48 | |
United
| Professional | $33.88 | $38.02 | $38.02 |